JAY HOSPITAL INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: JAY HOSPITAL INC (EIN 59-2425149)
Tax period: 2019-10-01 to 2020-09-30
Filed: 2021-08-10
IRS object ID: 202122229349300712
Schema version: 2019v5.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R
Affiliated Group Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-08-10T08:33:17-05:00	ReturnTs
Tax Period End	2020-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1201 Walnut Suite 1700	AddressLine1Txt
City	Kansas City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	641062246	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	592425149	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JAY HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% KEITH STRICKLING	InCareOfNm
Business Name Control	JAYH	BusinessNameControlTxt
Phone	8504344714	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	POST OFFICE BOX 17500	AddressLine1Txt
City	PENSACOLA	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32522	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL GLEASON	PersonNm
Person Title	SVP/CFO	PersonTitleTxt
Phone	8504697643	PhoneNum
Signature	2021-08-16	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Michael J Engle	PreparerPersonNm
PTIN	P00482834	PTIN
Phone	8162216300	PhoneNum

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Michael T Hutchins	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1717 N E ST STE 320	AddressLine1Txt
City	PENSACOLA	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32501	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$11,239,372	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.ebaptisthealthcare.org/JayHospital	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1983	FormationYr
Legal Domicile State	FL	LegalDomicileStateCd
Activity Or Mission	DEDICATED TO MEETING THE HEALTHCARE NEEDS IN THE JAY, CENTURY, FLOMATON AND SURROUNDING COMMUNITIES IN THE NORTHWEST FLORIDA-SOUTH ALABAMA AREA.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	155	TotalEmployeeCnt
Total Volunteers	23	TotalVolunteersCnt
Total Gross UBI	$49,828	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$7,848	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$50,000	PYContributionsGrantsAmt
CY Contributions Grants	$5,000	CYContributionsGrantsAmt
PY Program Service Revenue	$12,122,955	PYProgramServiceRevenueAmt
CY Program Service Revenue	$10,927,196	CYProgramServiceRevenueAmt
PY Investment Income	$32,096	PYInvestmentIncomeAmt
CY Investment Income	$353	CYInvestmentIncomeAmt
PY Other Revenue	$436,599	PYOtherRevenueAmt
CY Other Revenue	$295,583	CYOtherRevenueAmt
PY Total Revenue	$12,641,650	PYTotalRevenueAmt
CY Total Revenue	$11,228,132	CYTotalRevenueAmt
PY Grants And Similar Paid	$13,300	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$13,158	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$7,543,923	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$7,818,126	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$9,050,794	PYOtherExpensesAmt
CY Other Expenses	$7,458,766	CYOtherExpensesAmt
PY Total Expenses	$16,608,017	PYTotalExpensesAmt
CY Total Expenses	$15,290,050	CYTotalExpensesAmt
PY Revenues Less Expenses	-$3,966,367	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$4,061,918	CYRevenuesLessExpensesAmt
Total Assets BOY	$4,060,215	TotalAssetsBOYAmt
Total Assets EOY	$3,765,804	TotalAssetsEOYAmt
Total Liabilities BOY	$1,650,879	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$4,086,238	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,409,336	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$320,434	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	Yes (true)	SignificantChangeInd
Expense	$11,501,963	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$10,877,368	RevenueAmt
Desc	GENERAL AND SPECIALIZED HEALTH CARE SERVICES INCLUDING INPATIENT, PRIMARY CARE, LONG TERM AND OUTPATIENT HEALTHCARE SERVICES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$13,158	ExpenseAmt
Grant	$13,158	GrantAmt
Revenue	$0	RevenueAmt
Desc	COMMUNITY BENEFIT OUTREACH ACTIVITIES CONDUCTED BY THE ORGANIZATION INCLUDING HEALTH EDUCATION SEMINARS, HEALTH FAIRS, AND DONATIONS TO OTHER NON-PROFIT ENTITIES.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$11,515,121	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	1	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	155	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	KEITH STRICKLING	PersonNm
Phone	8506758024	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	14114 ALABAMA STREET	AddressLine1Txt
City	Jay	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32565	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
MICHAEL GLEASON
SVP/CFO	5.0	45.0	Yes (X)	$0	$608,067	$115,764
BYRON SCOTT RAYNES
PRESIDENT-JHI/EXEC VP-BHC	10.0	40.0	Yes (X)	$0	$580,549	$127,040
KARIN PARDUE
PHYSICIAN	40.0	0.0		$305,375	$0	$27,624	Yes (X)
MICHAEL HUTCHINS
VP/ADMINISTRATOR	40.0	0.0	Yes (X)	$228,721	$0	$27,506
DANIEL D SHEPPARD
PHARMACIST	40.0	0.0		$125,097	$0	$28,487	Yes (X)
KEITH STRICKLING
CONTROLLER	40.0	0.0		$108,956	$0	$28,465	Yes (X)
KATHRYN R HUNT
PHYSICIAN	40.0	0.0		$120,325	$0	$0	Yes (X)
PURUSHOTTAM GARG
PHYSICIAN	40.0	0.0		$108,333	$0	$0	Yes (X)
Ronald E Jackson
MEMBER/CHAIRMAN	1.0	2.0	Yes (X)	$0	$0	$0		Yes (X)
KIM JERNIGAN DMD
MEMBER	1.0	1.0		$0	$0	$0		Yes (X)
Ricky W Smith
MEMBER/SECRETARY	1.0	1.0	Yes (X)	$0	$0	$0		Yes (X)
MICHAEL J MAZENKO
MEMBER/TREASURER	1.0	1.0	Yes (X)	$0	$0	$0		Yes (X)
LUTHER TAYLOR ENDED 33120
MEMBER/VICE CHAIRMAN	1.0	2.0	Yes (X)	$0	$0	$0		Yes (X)
JOHN HEER
MEMBER	1.0	2.0		$0	$0	$0		Yes (X)
ADM ROBERT KELLY
MEMBER (ENDED 3/31/20)	1.0	1.0		$0	$0	$0		Yes (X)
JOHN M KIZZIAH
MEMBER	1.0	1.0		$0	$0	$0		Yes (X)
THOMAS F OWENS
MEMBER	1.0	1.0		$0	$0	$0		Yes (X)
DOUG SPRAGUE
MEMBER	1.0	1.0		$0	$0	$0		Yes (X)
KARA CARDONA
MEMBER/VICE CHAIR	1.0	1.0	Yes (X)	$0	$0	$0		Yes (X)
STEPHANIE WHITE
MEMBER (ENDED 3/31/20)	1.0	1.0		$0	$0	$0		Yes (X)
DAVID HAWKINS
MEMBER	1.0	1.0		$0	$0	$0		Yes (X)
SHIRLEY HENDERSON
MEMBER	1.0	1.0		$0	$0	$0		Yes (X)
BRIAN WYER
MEMBER (STARTED 4/1/21)	1.0	1.0		$0	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$996,807	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,188,616	TotReportableCompRltdOrgAmt
Total Other Compensation	$354,886	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	8	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Mark Elder DO
2946 GREYSTONE DR	PACE	FL	32571	Physician Services	$206,088
ALLIANCE HEALTHCARE SERVICES
PO BOX 735714	DALLAS	TX	75373	MEDICAL IMAGING	$222,474

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	2	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$5,000	AllOtherContributionsAmt
Total Contributions	$5,000	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621990	$10,599,063	$10,549,235	$49,828
COVID-19 RECOVERIES	621990	$328,133	$328,133

Field	Value	IRS element (for citing)
Total Program Service Revenue	$10,927,196	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$455	TotalRevenueColumnAmt
Exclusion	$455	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$12,575	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$11,138	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,437	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,437	TotalRevenueColumnAmt
Exclusion	$1,437	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$102	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$102	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$102	TotalRevenueColumnAmt
Exclusion	-$102	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA SALES	722210	$13,001	$13,001
MEDICAL RECORDS	541900	$3,115	$3,115
MISCELLANEOUS REVENUE	900099	$278,030	$278,030

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$278,030	TotalRevenueColumnAmt
Exclusion	$278,030	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$294,146	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,228,132	TotalRevenueColumnAmt
Related Or Exempt Func Income	$10,877,368	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$49,828	UnrelatedBusinessRevenueAmt
Exclusion	$295,936	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$13,158	TotalAmt
Program Services	$13,158	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$251,864	TotalAmt
Program Services	$201,491	ProgramServicesAmt
Management And General	$50,373	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$6,313,921	TotalAmt
Program Services	$5,752,350	ProgramServicesAmt
Management And General	$561,571	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$164,391	TotalAmt
Program Services	$149,102	ProgramServicesAmt
Management And General	$15,289	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$642,705	TotalAmt
Program Services	$582,933	ProgramServicesAmt
Management And General	$59,772	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$445,245	TotalAmt
Program Services	$403,834	ProgramServicesAmt
Management And General	$41,411	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,360,014	TotalAmt
Program Services	$171,575	ProgramServicesAmt
Management And General	$2,188,439	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$5,826	TotalAmt
Management And General	$5,826	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,240,271	TotalAmt
Program Services	$910,330	ProgramServicesAmt
Management And General	$329,941	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$578	TotalAmt
Program Services	$578	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$217,787	TotalAmt
Program Services	$149,270	ProgramServicesAmt
Management And General	$68,517	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$19,649	TotalAmt
Program Services	$19,566	ProgramServicesAmt
Management And General	$83	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$321,396	TotalAmt
Program Services	$292,837	ProgramServicesAmt
Management And General	$28,559	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$27,720	TotalAmt
Program Services	$7,031	ProgramServicesAmt
Management And General	$20,689	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$358,651	TotalAmt
Program Services	$304,853	ProgramServicesAmt
Management And General	$53,798	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$223,717	TotalAmt
Management And General	$223,717	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE	$1,661,881	$1,661,881
MEDICAL SUPPLIES	$680,696	$680,696
INDIGENT ASSESSMENT	$104,609	$104,609
FOOD COSTS	$90,046	$89,037	$1,009

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$145,925	TotalAmt
Program Services	$19,990	ProgramServicesAmt
Management And General	$125,935	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,290,050	TotalAmt
Program Services	$11,515,121	ProgramServicesAmt
Management And General	$3,774,929	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$114,407	BOYAmt
EOY	$82,746	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,424,045	BOYAmt
EOY	$1,137,374	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$151,811	BOYAmt
EOY	$174,055	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$48,576	BOYAmt
EOY	$22,725	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$13,014,396	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$10,665,492	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,321,376	BOYAmt
EOY	$2,348,904	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,060,215	BOYAmt
EOY	$3,765,804	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$798,457	BOYAmt
EOY	$1,087,786	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$257,462	BOYAmt
EOY	$257,462	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$594,960	BOYAmt
EOY	$2,740,990	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,650,879	BOYAmt
EOY	$4,086,238	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,409,336	BOYAmt
EOY	-$320,434	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,409,336	BOYAmt
EOY	-$320,434	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,060,215	BOYAmt
EOY	$3,765,804	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$4,061,918	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$1,332,148	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Organization Belongs Afflt Grp	Yes (X)	OrganizationBelongsAffltGrpInd
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$3,301	FilingOrganizationsTotalAmt
Affiliated Group Total	$190,875	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$3,301	FilingOrganizationsTotalAmt
Affiliated Group Total	$190,875	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$15,286,749	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,060,280,694	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$15,290,050	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,060,471,569	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$914,503	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,000,000	AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$228,626	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,318,119	AffiliatedGroupTotalAmt

Field	Value	IRS element (for citing)
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$246,919	CurrentYearMinus3Amt
Current Year Minus2	$249,769	CurrentYearMinus2Amt
Current Year Minus1	$212,140	CurrentYearMinus1Amt
Current Year	$190,875	CurrentYearAmt
Total	$899,703	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$0	CurrentYearMinus3Amt
Current Year Minus2	$0	CurrentYearMinus2Amt
Current Year Minus1	$0	CurrentYearMinus1Amt
Current Year	$0	CurrentYearAmt
Total	$0	TotalAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$62,193	OtherCostOrOtherBasisAmt
Book Value	$62,193	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,182,808	OtherCostOrOtherBasisAmt
Depreciation	$176,381	DepreciationAmt
Book Value	$1,006,427	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,591,085	OtherCostOrOtherBasisAmt
Depreciation	$3,770,854	DepreciationAmt
Book Value	$820,231	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,001,929	OtherCostOrOtherBasisAmt
Depreciation	$6,671,183	DepreciationAmt
Book Value	$330,746	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$176,381	OtherCostOrOtherBasisAmt
Depreciation	$47,074	DepreciationAmt
Book Value	$129,307	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,348,904	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DUE TO THIRD PARTIES	$2,349,230
ASSET RETIREMENT OBLIGATION	$140,915
LEASE OBLIGATION	$250,845

Field	Value	IRS element (for citing)
Total Liability	$2,740,990	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE D, PART XIII	FormAndLineReferenceDesc
Explanation	Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) Topic 740, Income Taxes, prescribes the accounting for uncertainty in income tax positions recognized in financial statements. ASC Topic 740 provides guidance for recognition threshold and measurement attributes for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. There were no material uncertain tax positions as of September 30, 2020 and 2019.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,005,965	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,353	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,004,612	NetCommunityBenefitExpnsAmt
Total Expense	0.07370	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,096,607	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,120,603	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$976,004	NetCommunityBenefitExpnsAmt
Total Expense	0.07160	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,102,572	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,121,956	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,980,616	NetCommunityBenefitExpnsAmt
Total Expense	0.14530	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$12,958	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,958	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$12,958	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,958	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$3,115,530	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,121,956	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,993,574	NetCommunityBenefitExpnsAmt
Total Expense	0.14630	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$1,661,881	BadDebtExpenseAmt
Bad Debt Expense Attributable	$442,060	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$4,400,019	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$6,035,920	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,635,901	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JAY HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	14114 ALABAMA STREET	AddressLine1Txt
City	JAY	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32565	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.ebaptisthealthcare.org/JayHospital	WebsiteAddressTxt
State License	100048	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	JAY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	ebaptisthealthcare.org/community/CHNA	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.ebaptisthealthcare.org/community/CHNA	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Section C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Section C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Section C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	The CHNA process was facilitated by The Live Well Partnership (Live Well), a nonprofit organization whose mission is to sponsor community health status assessments for Escambia and Santa Rosa Counties in Florida and to support and promote collaborative initiatives that address identified health priorities. An effort was made to involve individuals from many different sectors of the local economy in developing this CHNA. The Live Well Board of Directors, which includes health providers, social service organizations and business interests formed the backbone of the CHNA process. A Steering Committee, consisting of the Live Well Board and other community organizations, was established to provide guidance and input throughout data gathering and analysis. The Steering Committee provided input on their perceptions of health and health services, reviewed health outcomes, narrowed the focus to the top four priorities in each county, and approved this report. Below is a roster of both the CHNA Planning Committee and CHNA Steering Committee. CHNA Planning Committee - responsible for planning, data collection/analysis, communication and report writing . Brett Aldridge, Baptist Health Care . Myesha Arrington, Community Health Northwest Florida . Amy Barron, Sacred Heart Health System . Nora Bailey, Live Well Partnership . Paula Bides, Ascension Florida . John Clark, Council on Aging . Carter Craddock, Baptist Health Care . Denice Curtis, University of West Florida, College of Health . Matt Dobson, Florida Department of Health - Santa Rosa . Krystle Fernandez, Baptist Health Care . John Hartman, University of West Florida, College of Health . Michelle Hill, Florida Department of Health - Santa Rosa . Bethany Miller, Sacred Heart Health System . Kimberly Pace, Florida Department of Health - Escambia . Ann Papadelias - Community Health Northwest Florida . Sandra Park-O'Hara, Florida Department of Health - Santa Rosa . Patrick Shehee - Florida Department of Health - Escambia . Chandra Smiley, Community Health Northwest Florida . Daudet Tshiswaka, University of West Florida, College of Health . Versilla Turner, Florida Department of Health - Escambia . Debra Vinci, University of West Florida, College of Health CHNA Steering Committee - responsible for guiding the CHNA process, reviewing data, providing feedback and setting priorities . Achieve Escambia . Ascension Florida . Baptist Health Care . Baptist Hospital . Children's Home Society of Florida . Community Health Northwest Florida . Community Drug & Alcohol Council . Council on Aging of Northwest Florida . Covenant Care . Emerald Coast Utility Authority . Escambia County School District . Ever'man Cooperative Grocery & Caf . Feeding the Gulf Coast . FL Department of Children & Families . FL Dept of Health - Escambia . FL Dept of Health - Santa Rosa . Good Samaritan Clinic . Gulf Breeze Hospital . Gulf Coast African American Chamber . Health & Hope Clinic . Jay Hospital . J L Maygarden Company . Lakeview Center . Live Well Partnership . Manna Food Pantries . Open Doors NW FL . Pensacola Bay Baptist Association . Pensacola News Journal . Sacred Heart Health System . Santa Rosa County . Santa Rosa County School District . Santa Rosa Medical Center . Town of Century . United Way of Escambia . University of West Florida . Walmart . Waterfront Mission . YMCA of Northwest Florida
SCHEDULE H, Part V, Section B, Line 6a	The CHNA process was facilitated by The Live Well Partnership (Live Well), a nonprofit organization whose mission is to sponsor community health status assessments for Escambia and Santa Rosa Counties in Florida and to support and promote collaborative initiatives that address identified health priorities. The CHNA Planning Committee and Steering Committee included representation from Baptist Health Care and its affiliates (including both Baptist and Gulf Breeze Hospital), Ascension Sacred Heart and Santa Rosa Medical Center.
SCHEDULE H, Part V, Section B, Line 6b	Non-hospital stakeholder members of the CHNA Planning Committee and Steering Committee included representatives from the Florida Departments of Health in Escambia and Santa Rosa Counties, Community Health Northwest Florida (a federally qualified health center), the University of West Florida as well as a variety of community organizations including business, social service organizations, school districts, local utility companies, county government, to name a few.
SCHEDULE H, Part V, Section B, Line 11	Baptist Health Care recognized that sustained community health improvement happens when organizations from all sectors of the community landscape take ownership of the community's health and work together for improvement. While health providers can lead the charge, all sectors of the community must be engaged and committed to alignment of resources across sectors to better serve families. Following the completion of the 2019 CHNA, Baptist worked with other community partners who had together formed the Live Well Partnership for Healthy Communities to begin working toward an expanded, more comprehensive model for approaching health and wellness in the community. There are two parts in this enhanced collaborative approach: 1. Expansion of the former approach to a true cross-sector collective impact effort that engages others outside of the traditional health provider partners. Health partner meetings led to a convening of cross- sector community leaders to determine if there was an interest among other sectors to engage in this work. With over 75 thought leaders from the community in attendance at a convening in April of 2019, the response was overwhelmingly positive for moving forward with this new approach to health and wellness in the community. Learning from the efforts of Achieve Escambia, a collective impact effort focused on educational outcomes, the group began the process to launch Achieve Healthy EscaRosa, with a purpose of working together to improve the health and well-being of Escambia and Santa Rosa counties so that all can thrive. The Mission of this new organization is to unite and align resources to achieve a healthy community where all can thrive. The Vision is a community where everyone lives well and thrives. 2. Convening community partners in focus groups for each prioritized areas of focus from the 2019 CHNA. The health departments have led the charge on the implementation of these sessions with the purpose of gaining additional insights from partners and developing strategic goals and objectives to truly "move the needle" toward improvement in these areas of focus. In late 2019, in light of additional insights from the community, to be more aligned with the Florida Community Health Improvement Plan (CHIP), and to be more effective with community health improvement efforts, the partners determined it was imperative to align the prioritized areas of focus across counties. Therefore, the updated, aligned prioritized focus areas are: Diabetes Mental health (including substance abuse as a component) Child health (including infant health as a component) Multiple focus group sessions for each of these focus areas were held in 2019 with hundreds of stakeholders attending the sessions. Feedback has been gathered to identify underlying causes, community concerns and promising practices that can be considered in Community Health Improvement Plans. Achieve Healthy EscaRosa creation hosted a community convening in February of 2020, during which hundreds of community members were introduced to the priority focus areas and other health metrics through a data walk. Participants were encouraged to engage in the effort. Input received at the convening was incorporated into a plan for the formal creation of Achieve Healthy EscaRosa (AHER.) AHER has now become the governing body for the implementation of community health improvement actions as well as future CHNAs in this community. With University of West Florida serving as the backbone convener and fiscal agent for AHER, nearly 60 partners in the community have begun engaging in the work of this collective impact effort. Baptist Health Care serves as a leader and convener of these efforts, and is actively engaged in multiple ways in this enhanced approached to health and wellness in the communities we serve. Jennifer Grove, VP External Relations of Baptist Health Care, serves as the Chair of Achieve Healthy EscaRosa, and various other team members participate in the Data, Communications, and CHNA Committees of AHER.
SCHEDULE H, PART V, SECTION C, LINE 16A-C	THE FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY CAN BE FOUND AT THE FOLLOWING WEB ADDRESS: https://www.ebaptisthealthcare.org/PatientFinancialResources

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CENTURY MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8401 N CENTURY BLVD	AddressLine1Txt
City	CENTURY	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32535	ZIPCd

Field	Value	IRS element (for citing)
Facility	PRIMARY CARE PRACTICE	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H , PART I, LINE 3C	IN ADDITION TO THE FPG THE ORGANIZATION USES AN ASSET TEST, MEDICAL INDINGENCY, INSURANCE/UNDERINSURANCE STATUS, AND RESIDENCY IN DETERMINING FREE OR DISCOUNTED CARE.
SCHEDULE H, PART I, LINE 7	The costing methodology used in determining the amount reported on Line 7 is the cost to charge ratio calculated pursuant to the IRS schedule H worksheet 2 instructions.
SCHEDULE H, PART I, LINE 7, COLUMN (F)	BAD DEBT EXPENSE IN THE AMOUNT OF $1,661,881 WAS SUBTRACTED FROM TOTAL EXPENSES PER FORM 990, PART IX, LINE 25 FOR PURPOSES OF CALCULATING THE PERCENTAGE FOR LINE 7, COLUMN (F).
SCHEDULE H, PART III, LINE 2 AND 4	THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORT HAS BEEN FOLLOWED IN ACCORDANCE FOR UNCOLLECTIBLE PATIENT ACCOUNTS, AND SUBSEQUENT RECOVERIES ARE ADDED. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. THE HOSPITAL PROVIDES SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES, TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY CARE POLICY. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO BE CHARITY CARE, SUCH SERVICES ARE NOT REPORTED AS NET REVENUE. THE HOSPITAL'S CHARITY CARE POLICY UTILIZES THE GENERALLY RECOGNIZED FEDERAL POVERTY INCOME LEVELS. FOR PATIENTS WHO DO NOT APPLY OR DO NOT QUALIFY, THE UNCOLLECTED AMOUNTS ARE RECOGNIZED AS BAD DEBT EXPENSE. ESTIMATED COST OF BAD DEBT IS BASED ON THE RATIO OF COST TO CHARGES AS DETERMINED BY HOSPITAL SPECIFIC DATA.
SCHEDULE H, PART III, LINE 3	BAD DEBT IS NOT INCLUDED AS PART OF JAY HOSPITAL'S COMMUNITY BENEFIT. APPROXIMATELY 26.6% OF JAY HOSPITAL'S PATIENTS QUALIFY FOR FREE OR DISCOUNTED CARE. THIS MEANS THAT APPROXIMATELY $442,060, OR 26.6%, OF JAY'S HOSPITAL'S BAD DEBT EXPENSE COULD BE INCLUDED AS COMMUNITY BENEFIT HAD THOSE INDIVIDUALS GONE THROUGH THE FINANCIAL ASSISTANCE PROCESS.
SCHEDULE H, PART III, LINE 8	THE MEDICARE SHORTFALL WAS NOT INCLUDED IN THE COMMUNITY BENEFIT COST, AND THE COSTING METHODOLOGY CONSISTED OF INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE ENTIRE COST OF PROVIDING CARE TO MEDICARE PATIENTS CAUSING THE ORGANIZATION TO USE OTHER SURPLUS FUNDS TO COVER THE SHORTFALL. HOWEVER, THE ORGANIZATION PROVIDES CARE TO MEDICARE PATIENTS REGARDLESS OF THIS SHORTFALL, WHICH RELIEVES THE STATE AND FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR THE CARE OF MEDICARE BENEFICIARIES.
SCHEDULE H, PART III, LINE 9B	PATIENTS ARE DEEMED FINANCIALLY INDIGENT IF (A) THEY ARE UNINSURSED OR UNDERINSURED AND (B) THEIR INCOME IS BELOW 200% OF FPL (BASED UPON THE PATIENT'S HOUSEHOLD INCOME AS DEFINED ANNUALLY BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES IN THE FEDERAL REGISTER AS THE FEDERAL POVERTY LEVEL (FPL) GUIDELINES). IF A PATIENT IS FOUND TO BE FINANCIALLY INDIGENT OR MEDICALLY INDIGENT, APPROPRITE FINANCIAL ASSISTANCE DISCOUNTS ARE APPLIED TO THE PATIENT'S ACCOUNT. FOR ANY PATIENT THAT QUALIFIES UNDER THE ORGANIZATION'S CHARITY CARE POLICY, THE PATIENT ACCOUNT IS WRITTEN OFF AS CHARITY CARE AND THE ORGANIZATION DOES NOT PURSUE ANY COLLECTIONS.
SCHEDULE H, PART VI, LINE 2	Part of the organization's mission is to improve the quality of life for people and communities served. In response to this mission, the organization helps ensure that all citizens are afforded access to health care by investing in community health, and by participating in and leading collaborative, community-wide partnerships. Free health screenings, support groups, education seminars, and other programs that are offered focus on areas that have been identified through internal studies and external sources as critical health concerns in the surrounding communities. A full copy of the hospital's Community Health Needs Assessment can be accessed using the following website: https://www.ebaptisthealthcare.org/community/CHNA
SCHEDULE H, PART VI, LINE 3	JAY EMPLOYEES WORKING IN THE SCHEDULING, PATIENT ACCESS, PATIENT FINANCIAL SERVICES AND EMERGENCY DEPARTMENTS AREAS HAVE BEEN TRAINED TO BE FULLY VERSED IN ALL FINANCIAL ASSISTANCE-RELATED POLICIES, HAVE ACCESS TO THE CHARITY CARE APPLICATION FORMS, AND BE ABLE TO DIRECT QUESTIONS TO THE APPROPRIATE REPRESENTATIVES. FOR NON-EMERGENCY PURPOSES, EVERY FILE FOR A PATIENT THAT HAS PRE-SCHEDULED AN OFFICE VISIT OR PROCEDURE IS REVIEWED BEFORE THE PATIENT ARRIVES AT THE HOSPITAL. A FINANCIAL COUNSELOR IS ASSIGNED TO THAT PATIENT IF IT IS DETERMINED THAT THE INDIVIDUAL MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE, ETC. ALSO, WHEN A PATIENT RECEIVES A BILL, THE ORGANIZATION INCLUDES PAPERWORK EXPLAINING THAT FINANCIAL ASSISTANCE IS AVAILABLE. JAY HOSPITAL HAS POSTED MULTILINGUAL NOTICES OF FINANCIAL ASSISTANCE POLICIES IN THE EMERGENCY DEPARTMENT. SAID NOTICES HAVE BEEN PUBLISHED IN ENGLISH AND SPANISH, AND HAVE BEEN MADE CLEARLY VISIBLE TO THE PUBLIC FROM THE LOCATION AT WHICH THEY ARE POSTED. JAY HOSPITAL PROVIDES PATIENTS, IN A TIMELY MANNER, A SUMMARY OF ITS CHARITY CARE POLICY UPON REQUEST. THE SUMMARY, AT A MINIMUM, PROVIDES SPECIFIC INFORMATION AS TO INCOME LEVELS USED TO DETERMINE ELIGIBILITY AND THE MEANS FOR APPLYING FOR ASSISTANCE. ALSO, JAY HOSPITAL HAS POSTED A SUMMARY OF ITS CURRENT CHARITY CARE POLICY ON ITS INTERNET WEBSITE.
SCHEDULE H, PART VI, LINE 4	JAY HOSPITAL, INC. OPERATES IN SANTA ROSA COUNTY, FLORIDA. APPROXIMATELY 184,000 INDIVIDUALS RESIDE IN THIS COUNTY, 9.8% OF WHICH LIVE BELOW POVERTY LEVEL. WHEN CONSIDERING THESE FACTORS, MORE THAN 18,000 RESIDENTS COULD BE ELIGIBLE TO QUALIFY FOR CHARITY CARE. APPROXIMATELY 26.6% OF JAY HOSPITAL'S PATIENTS DURING FY2020 WERE UNINSURED OR WERE MEDICAID RECIPIENTS. THREE HOSPITALS, INCLUDING JAY HOSPITAL, ARE LOCATED IN SANTA ROSA COUNTY.
SCHEDULE H, PART VI, LINE 5	THE ORGANIZATION DOES NOT LIMIT MEDICAL STAFF PRIVILEGES TO THE ORGANIZATION'S EMPLOYED PHYSICIANS BUT EXTENDS THOSE PRIVILEGES TO QUALIFIED PHYSICIANS FOR MOST AREAS OF SERVICE. THE ORGANIZATION'S BOARD OF DIRECTORS PRIMARILY CONSISTS OF COMMUNITYLEADERS AND RESIDENTS WHO ARE INDEPENDENT OF THE ORGANIZATION. THE ORGANIZATION STRIVES TO EDUCATE ALL BOARD MEMBERS REGARDING THE HEALTH NEEDS OF THE COMMUNITY AND HOW THESE NEEDS RELATE TO THE ORGANIZATION'S MISSION AND VALUES. THE ORGANIZATION SEEKS TO STRATEGICALLY ALLOCATE AVAILABLE FUNDS TO BENEFIT THE SURROUNDING COMMUNITIES. FOCUS AREAS INCLUDE INCREASING THE TYPES OF CARE TO BE PROVIDED TO THE COMMUNITY, IMPROVING THE QUALITY OF PATIENT CARE, AND FURTHERING MEDICAL EDUCATION AND RESEARCH.
SCHEDULE H, PART VI, LINE 6	ALTHOUGH THE ORGANIZATION MAY OPERATE IN DIFFERENT SERVICE AREAS WHEN COMPARED TO ITS AFFILIATES, ALL AFFILIATES WORK COLLABORATIVELY TO ENSURE THAT THE NEEDS OF THE COMMUNITIES ARE BEING ADDRESSED. THE ORGANIZATION PARTICIPATES IN MANY FREE HEALTH SCREENINGS, SUPPORT GROUPS, EDUCATION SEMINARS, AND HEALTH FAIRS THAT BENEFIT ALL COMMUNITIES WITHIN THE SYSTEM AND ARE NOT LIMITED TO THE COMMUNITIES IN WHICH THE ORGANIZATION OPERATES. AFFILIATED ENTITIES INCLUDE: - BAPTIST HEALTH CARE CORPORATION: PARENT ORGANIZATION PROVIDING STRATEGIC MANAGEMENT AND SUPPORT SERVICES - BAPTIST HOSPITAL, INC.: OPERATES BAPTIST HOSPITAL AND GULF BREEZE HOSPITALS - BAPTIST HEALTH CARE FOUNDATION, INC.: PROVIDES FINANCIAL AND FUNDRAISING ASSISTANCE FOR ALL AFFILIATES - LAKEVIEW CENTER, INC. AND AFFILIATES: PROVIDE BEHAVIORAL HEALTH AND PROTECTIVE SERVICES, LOW-COST HOUSING, AS WELL AS VOCATIONAL SERVICES AND EMPLOYMENT FOR PEOPLE WITH DISABILITIES. - BAPTIST URGENT CARE, LLC.:DELIVER AMBULATORY ARE IN A DEDICATED MEDICAL FACILITY OUTSIDE OF A TRADITIONAL EMERGENCY ROOM.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Santa Rosa Community Clinic	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5520 Stewart Street	AddressLine1Txt
City	Milton	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32570	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	311746599	RecipientEIN
IRC Section	501(c)(3)	IRCSectionDesc
Cash Grant	$11,458	CashGrantAmt
Purpose Of Grant	Healthcare	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2	FormAndLineReferenceDesc
Explanation	Within one year, the organization requests documentation from the recipient regarding proper use of funds provided for indigent patients.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
MICHAEL HUTCHINS
VP/ADMINISTRATOR	$173,510	$0	$13,713	$0	$41,498	$0	$11,141	$0	$16,365	$0	$256,227	$0	$0
MICHAEL GLEASON
SVP/CFO	$0	$568,394	$0	$0	$0	$39,673	$0	$94,762	$0	$21,002	$0	$723,831		$0
DANIEL D SHEPPARD
PHARMACIST	$124,707	$0	$0	$0	$390	$0	$1,597	$0	$26,890	$0	$153,584	$0	$0
KARIN PARDUE
PHYSICIAN	$287,947	$0	$17,290	$0	$138	$0	$0	$0	$27,624	$0	$332,999	$0	$0
BYRON SCOTT RAYNES
PRESIDENT-JHI/EXEC VP-BHC	$0	$558,554	$0	$0	$0	$21,995	$0	$93,691	$0	$33,349	$0	$707,589		$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A	THE FOLLOWING OFFICERS/KEY EMPLOYEES RECEIVED TAX GROSS-UP PAYMENTS THAT WERE INCLUDED IN THEIR W-2 TAXABLE WAGES: --MICHAEL HUTCHINS
SCHEDULE J, PART I, LINE 4B	CONTRIBUTIONS ----------- MICHAEL GLEASON $87,762 MICHAEL HUTCHINS $5,877 BYRON (SCOTT) RAYNES $83,848
SCHEDULE J, PART II	THE RELATED COMPENSATION REPORTED ON FORM 990, PART VII, SECTION A & SCHEDULE J, PART II WAS PAID BY THE FOLLOWING RELATED ORGANIZATIONS: --BAPTIST HEALTH CARE CORPORATION --BAPTIST HOSPITAL

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 1	HELPING PEOPLE THROUGHOUT LIFE'S JOURNEY: JAY HOSPITAL'S PRIMARY MISSION IS DEDICATED TO MEETING THE HEALTHCARE NEEDS IN THE JAY, CENTURY, FLOMATON, AND SURROUNDING COMMUNITIES IN THE NORTHWEST FLORIDA-SOUTH ALABAMA AREA. JAY HOSPITAL IS A 49-BED ACUTE FACILITY AND PART OF AN INTEGRATED NETWORK OF AFFILIATED ORGANIZATIONS. JAY HOSPITAL AND ITS AFFILIATED ORGANIZATIONS ARE COMMITTED TO PROVIDING A BROAD RANGE OF GENERAL AND SPECIALIZED HEALTH CARE SERVICES INCLUDING INPATIENT, PRIMARY CARE, LONG TERM AND OUTPATIENT HEALTHCARE SERVICES. QUALITY MEDICAL CARE IS PROVIDED TO ALL PERSONS REQUIRING IMMEDIATE TREATMENT REGARDLESS OF THEIR ABILITY TO PAY.
FORM 990, PART III, LINE 3	Like other healthcare providers, jAY Hospital experienced significant operational changes due to the COVID-19 pandemic. This included the mandatory suspension of elective procedures from March 2020 to May 2020, extreme increases in the cost of personal protective equipment, temporary alterations to facilities, staffing challenges, the rapid implementation of telehealth and staff telecommuting, and changes in safety protocols to protect patients, the staff and the community. During the pandemic, our organization followed the emerging and rapidly changing guidance of the CDC and other health experts to serve the needs of COVID-19 patients through inpatient care, outpatient care, telehealth, and COVID-19 testing and vaccine clinics.
FORM 990, PART V, LINE 1A	MOST 1099'S ARE ISSUED ON THE ORGANIZATION'S BEHALF BY BAPTIST HOSPITAL INC. (EIN: 59-0657322), A RELATED TAX EXEMPT ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 2	MICHAEL GLEASON AND BRYON (SCOTT) RAYNES HAVE A BUSINESS RELATIONSHIP. ALL RELATIONSHIPS ARE EMPLOYER/EMPLOYEE RELATIONSHIPS AT RELATED TAX EXEMPT ORGANIZATIONS. RONALD E. JACKSON AND LUTHER TAYLOR HAVE A BUSINESS RELATIONSHIP WITH MICHAEL GLEASON. RONALD E. JACKSON AND LUTHER TAYLOR ARE BOARD MEMBERS OF BAPTIST HEALTH CARE CORPORATION AND MICHAEL GLEASON IS AN OFFICER OF BAPTIST HEALTH CARE CORPORATION, CREATING AN EMPLOYER/EMPLOYEE RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6	BAPTIST HEALTH CARE CORPORATION, A FLORIDA CORPORATION NOT-FOR-PROFIT, IS THE SOLE MEMBER OF JAY HOSPITAL,INC. BAPTIST HEALTH CARE CORPORATION HAS THE RIGHT TO ELECT THE BOARD OF DIRECTORS OF JAY HOSPITAL,INC.
FORM 990, PART VI, SECTION A, LINE 7A	BAPTIST HEALTH CARE CORPORATION, BEING THE SOLE MEMBER OF JAY HOSPITAL, INC. HAS THE RIGHT TO ELECT THE GOVERNING BODY OF JAY HOSPITAL, INC.
FORM 990, PART VI, SECTION A, LINE 7B	THE FOLLOWING SHALL REQUIRE APPROVAL BY THE BAPTIST HEALTH CARE CORPORATION, THE SOLE MEMBER, BOARD OF DIRECTORS: A. ELECTION OF THE DIRECTORS OF THE CORPORATION AT THE ANNUAL MEETING OF THE MEMBERS FROM AMONG THOSE PERSONS NOMINATED BY THE BAPTIST HEALTH CARE CORPORATION NOMINATING COMMITTEE. B. REMOVAL OF A DIRECTOR OF THE CORPORATION WITH OR WITHOUT CAUSE WHENEVER SUCH ACTION WOULD BE IN THE BEST INTEREST OF THE CORPORATION C. ALL AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS BEFORE THEY MAY BECOME EFFECTIVE. D. APPOINTMENT OF THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION E. ANY CONTRACT OR PURCHASE ORDER IN EXCESS OF $1,000,000 IN ADVANCE F. THE INCURRENCE BY THE CORPORATION OF ANY INDEBTEDNESS IN EXCESS OF $1,000,000 BEFORE SUCH INDEBTEDNESS IS CONTRACTED AND BEFORE EVIDENCE OF SUCH INDEBTEDNESS IS ISSUED G. ANNUAL CAPITAL AND OPERATING BUDGETS OF THE CORPORATION H. TRANSFER ASSETS BY THE CORPORATION DURING ANY FISCAL YEAR OF ASSETS EXCEEDING $100,000 IN NET VALUE
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED BY A FLORIDA LICENSED CPA WHO IS AN EMPLOYEE OF A RELATED TAX-EXEMPT ORGANIZATION, BAPTIST HEALTH CARE, INC., AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM.THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S MANAGEMENT PERSONNEL. ANY QUESTIONS AND CONCERNS THE ORGANIZATION'S MANAGEMENT PERSONNEL HAS ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN MADE AVAILABLE TO THE EXECUTIVE COMPENSATION COMMITTEE AND ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990 WITH THE IRS. ALL BOARD MEMBERS ARE INFORMED THAT A PAPER COPY OF THE FORM 990 IS AVAILABLE AT THE ORGANIZATION'S PRINCIPAL OFFICE.
FORM 990, PART VI, SECTION B, LINE 12C	BOARD MEMBERS AND OFFICERS RECEIVE CORRESPONDENCE EACH YEAR THAT MUST BE COMPLETED AND SIGNED. THE CORRESPONDENCE INCLUDES A CONFLICTS OF INTEREST QUESTIONAIRE. OFFICERS AND KEY STAFF ALSO RECEIVE AN ATTESTATION FORM THAT MUST BE SIGNED CONFIRMING THAT THEY WILL DISCLOSE ANY CONFLICTS THAT VIOLATE THE ORGANIZATION'S POLICY. THE BOARD REVIEWS ALL CONFLICTS AND DETERMINES IF FURTHER ACTIONS NEED TO BE TAKEN.
FORM 990, PART VI, SECTION B, LINES 15A & B	EACH YEAR, THE COMPENSATION COMMITTEE OF THE BAPTIST HEALTH CARE CORPORATION BOARD UTILIZES INDEPENDENT COMPENSATION STUDIES THAT REFLECT THE CURRENT MARKET VALUE OF SPECIFIC KEY MANAGEMENT POSITIONS AS BENCHMARK DATA. ALL COMPENSATION OF KEY INDIVIDUALS MUST BE APPROVED BY THE BAPTIST HEALTH CARE COMPENSATION COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION HAS ALL GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND THE ANNUAL FINANCIAL STATEMENTS ON FILE IN THE ACCOUNTING AND ADMINISTRATION DEPARTMENTS. ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII, SECTION A, LINE 1A	THE FOLLOWING BOARD MEMBERS CHANGED THEIR POSITION WITHIN THE BOARD DURING THE TAX YEAR AS A RESULT OF THE TIMING OF BOARD MEMBER ELECTIONS: 10/01/19 - 03/31/20 04/01/20 - 09/30/20 LUTHER TAYLOR VICE CHAIR (TERM ENDED 3/31/20) KARA CARDONA MEMBER VICE CHAIR
FORM 990, PART XI, LINE 9	EQUITY TRANSFER $1,332,148

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
BAPTIST HEALTH CARE CORPORATION
1717 N E STREET	PENSACOLA	FL	32501	592425151	HEALTHCARE	FL	501(c)(3)	12c	NA	false
BAPTIST HEALTH CARE FOUNDATION
1717 N E STREET	PENSACOLA	FL	32501	590192265	FUNDRAISING	FL	501(c)(3)	7	BHC	Yes (true)
BAPTIST HOSPITAL INC
1000 WEST MORENO STREET	PENSACOLA	FL	32501	590657322	HEALTHCARE	FL	501(c)(3)	3	BHC	Yes (true)
CMHC HERNANDEZ HOUSE INC
1221 WEST LAKEVIEW AVE	PENSACOLA	FL	32501	592041794	LOW COST HOUS	FL	501(c)(3)	10	LCI	Yes (true)
LAKEVIEW CENTER INC
1221 WEST LAKEVIEW AVENUE	PENSACOLA	FL	32501	590737872	HEALTHCARE	FL	501(c)(3)	7	BHC	Yes (true)
LAKEVIEW PLACE INC
1221 WEST LAKEVIEW AVE	PENSACOLA	FL	32501	592804577	LOW COST HOUS	FL	501(c)(3)	10	LCI	Yes (true)
LAKEVIEW VILLA INC
1221 WEST LAKEVIEW AVE	PENSACOLA	FL	32501	592842486	LOW COST HOUS	FL	501(c)(3)	10	LCI	Yes (true)
GLOBAL CONNECTIONS TO EMPLOYMENT INC
1221 WEST LAKEVIEW AVE	PENSACOLA	FL	32501	472592811	VOC TRAINING	FL	501(C)(3)	7	LCI	Yes (true)
CHAUTAUQUA OFFICES OF PSYCHOTHERAPY AND
1221 WEST LAKEVIEW AVE	PENSACOLA	FL	32501	591469145	COUNSELING	FL	501(C)(3)	7	LCI	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt
BAPTIST MEDICAL PARK SURGERY CENTER LLC
9400 UNIVERSITY PKWY	PENSACOLA	FL	32514	593535262	AMBULATORY SURGER	FL	NA	N/A
ANDREWS INSTITUTE ASC LLC
1040 GULF BREEZE PKWY	GULF BREEZE	FL	32561	352274952	AMBULATORY SURGER	FL	NA	N/A
LIGHTHOUSE HEALTH PLAN LLC
1717 NORTH E STREET STE 320	PENSACOLA	FL	32501	823182832	HEALTH INS. P	FL	NA	N/A
BHI-INTUITIVE HEALTH OF ESCAMBIA COUNTY
5700 GRANITE PARKWAY SUITE 455	PLANO	TX	75024	843637126	FREESTANDING ED	FL	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
BAPTIST HEALTH VENTURES INC
1717 NORTH E ST	PENSACOLA	FL	32501	592415910	ADMINISTRATIVE	FL	NA	C CORP	Yes (true)
PENSACOLA POB INC
1717 NORTH E ST	PENSACOLA	FL	32501	592462399	LEASING AGENT	FL	NA	C CORP	Yes (true)
MOBILE DIAGNOSTICS INC
1717 NORTH E ST	PENSACOLA	FL	32501	592864191	MEDICAL SERVIVES	FL	NA	C CORP	Yes (true)
THE TOWERS PHARMACY INC
1717 NORTH E ST	PENSACOLA	FL	32501	592667929	RETAIL SALES	FL	NA	C CORP	Yes (true)
LANGHORNE CARDIOLOGY CONSULTANTS INC
1717 NORTH E ST	PENSACOLA	FL	32501	592874324	MEDICAL SERVICES	FL	NA	C CORP	Yes (true)
LAKEVIEW ASSOCIATED ENTERPRISES-PHASE I
1221 W LAKEVIEW AVE	PENSACOLA	FL	32501	611711170	FRANCHISING	FL	NA	C CORP	Yes (true)
LAKEVIEW ASSOCIATED ENTERPRISES-PHASE II
1221 WEST LAKEVIEW AVE	PENSACOLA	FL	32501	465458197	FRANCHISING	FL	NA	C CORP	Yes (true)
PARCEL 27 LAND CONDOMINIUM ASSOC INC
1221 W LAKEVIEW AVE	PENSACOLA	FL	32501	821313799	CONDO ASSOCIATION	FL	NA	C CORP	Yes (true)
MEDICAL PROFESSIONAL AGENCY INC
1717 NORTH E ST	PENSACOLA	FL	32501	592555835	MEDICAL SERVICES	FL	NA	C CORP	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	Yes (true)	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
BAPTIST HOSPITAL INC
I	$114,626	FMV
BAPTIST HOSPITAL INC
M	$194,092	FMV

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedScheduleGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Electing OrganizationElectingOrganizationInd	Total Grassroots LobbyTotalGrassrootsLobbyAmt	Total Direct LobbyTotalDirectLobbyAmt	Total Lobby ExpenditureTotalLobbyExpenditureAmt	Other Exempt Purpose ExpendOtherExemptPurposeExpendAmt	Total Exempt Purpose ExpendTotalExemptPurposeExpendAmt	Lobby NontxLobbyNontxAmt	Grassroots NontxGrassrootsNontxAmt	Total Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmt	Tot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmt	Share Excess Lobby ExpendShareExcessLobbyExpendAmt
BAPTIST HEALTH CARE CORPORAT
PO BOX 17500	PENSACOLA	FL	325227500	592425151	Yes (X)	$0	$101,678	$101,678	$70,110,616	$70,212,294	$1,000,000	$250,000	$0	$0	$0
BAPTIST HEALTH CARE FOUNDATI
PO BOX 17500	PENSACOLA	FL	325227500	590192265	Yes (X)	$0	$0	$0	$2,422,095	$2,422,095	$271,105	$67,776	$0	$0	$0
BAPTIST HOSPITAL INC
PO BOX 17500	PENSACOLA	FL	325227500	590657322		$0	$45,896	$45,896	$641,073,445	$641,119,341	$1,000,000	$250,000	$0	$0	$0
CMHC HERNANDEZ HOUSE INC
1221 W LAKEVIEW AVENUE	PENSACOLA	FL	325011836	592041794		$0	$0	$0	$36,446	$36,446	$7,289	$1,822	$0	$0	$0
JAY HOSPITAL INC
PO BOX 17500	PENSACOLA	FL	325227500	592425149		$0	$3,301	$3,301	$15,286,749	$15,290,050	$914,503	$228,626	$0	$0	$0
LAKEVIEW PLACE INC
1221 W LAKEVIEW AVENUE	PENSACOLA	FL	325011836	592804577		$0	$0	$0	$82,821	$82,821	$16,564	$4,141	$0	$0	$0
LAKEVIEW VILLA INC
1221 W LAKEVIEW AVENUE	PENSACOLA	FL	325011836	592842486		$0	$0	$0	$142,148	$142,148	$28,430	$7,108	$0	$0	$0
LAKEVIEW CENTER INC
1221 W LAKEVIEW AVENUE	PENSACOLA	FL	325011836	590737872		$0	$40,000	$40,000	$145,623,197	$145,663,197	$1,000,000	$250,000	$0	$0	$0
GLOBAL CONNECTIONS TO EMPLOY
1221 WEST LAKEVIEW AVE	PENSACOLA	FL	32501	472592811		$0	$0	$0	$185,330,263	$185,330,263	$1,000,000	$250,000	$0	$0	$0
CHAUTAUQUA OFFICES OF PSYCHO
59-1469145	PENSACOLA	FL	32501	591469145		$0	$0	$0	$172,914	$172,914	$34,583	$8,646	$0	$0	$0